Preoperative stoma site marking: a simple practice to reduce stoma-related complications

Arolfo, Simone; Borgiotto, Carolina; Bosio, Giovanna; Mistrangelo, Massimiliano; Allaix, Marco Ettore; Morino, Mario

doi:10.1007/s10151-018-1857-3

Cited by 47 publications

(70 citation statements)

References 13 publications

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“…Various variables have been identified as independent risk factors for SRCs, including ASA grade [22], age, ileostomy, and loop stomas [23], male sex, and ileostomy creation [24]. Our results firstly demonstrated that ERAS nursing program was associated with decreased SRCs rates.…”

Section: Discussionsupporting

confidence: 54%

Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer

et al. 2020

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Background This study aimed to investigate the association between enhanced recovery after surgery (ERAS) nursing program and stoma-related complications (SRCs) and prognosis in patients with low rectal cancer (LRC) undergoing abdominoperineal resection with sigmoidostomy. Methods LRC patients who underwent elective abdominoperineal resection with sigmoidostomy between May 2016 and May 2019 were retrospectively enrolled. The occurrence of early major or minor SRCs (within postoperative 30 days) was set as the primary end-point. Clinicopathological variables and laboratory tests were compared between patients with or without SRCs. The univariate and multivariate logistic regression analyses were performed to investigate risk factors for SRCs. Hospitalization satisfaction-related and prognosis-related variables were compared between LRC patients with or without ERAS nursing program. Results A total of 288 patients were enrolled and the incidence of SRCs was 26.7% (77/288). ERAS nursing program was the only independent risk factor for SRCs in LRC patients (OR 2.04, 95%CI 1.31–3.12, P = 0.016) by the multivariate logistic regression analysis. Moreover, ERAS nursing program was associated with higher hospitalization satisfaction rate, faster bowel function recovery, better psychological status, and higher quality of life. Conclusions ERAS nursing program was a protective factor for SRCs and associated with improved prognosis in LRC patients undergoing elective abdominoperineal resection with sigmoidostomy.

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Section: Discussionsupporting

confidence: 54%

Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer

et al. 2020

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“…Various variables have been identi ed as independent risk factors for SRCs, including ASA grade (22), age, ileostomy, and loop stomas (23), male sex, and ileostomy creation (24). Our results rstly demonstrated that ERAS nursing was associated with decreased SRCs rates.…”

Section: Discussionsupporting

confidence: 52%

Enhanced recovery after surgery nursing, a risk factor for stoma-related complications in patients with low rectal cancer

Shao

Wang

Chen

et al. 2020

Preprint

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Background: This study aimed to investigate the association between enhanced recovery after surgery (ERAS) nursing and stoma-related complications (SRCs) and prognosis in patients with low rectal cancer (LRC) undergoing abdominoperineal resection with sigmoidostomy.Methods: LRC patients who underwent elective abdominoperineal resection with sigmoidostomy between May 2016 and May 2019 were retrospectively enrolled. The occurrence of early major or minor SRCs (within postoperative 30 days) was set as the primary end-point. Clinicopathological variables and laboratory tests were compared between patients with or without SRCs. The univariate and multivariate logistic regression analyses were performed to investigate risk factors for SRCs. Hospitalization satisfaction-related and prognosis-related variables were compared between LRC patients with or without ERAS nursing.Results: A total of 288 patients were enrolled and the incidence of SRCs was 26.7% (77/288). ERAS nursing was the only independent risk factor for SRCs in LRC patients (OR: 2.04, 95%CI: 1.31-3.12, P=0.016) by the multivariate logistic regression analysis. Moreover, ERAS nursing was associated with higher hospitalization satisfaction rate, faster bowel function recovery, better psychological status, and higher quality of life.Conclusions: ERAS nursing was a risk factor for SRCs and associated with improved prognosis in LRC patients undergoing elective abdominoperineal resection with sigmoidostomy.

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“…Besides the height of the stoma above the skin [ 15 ], a relevant predisposition to stoma-related complications is the stoma site [ 10 , 16 ]. An optimal ostomy position may prevent many stoma-related complications [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of preoperative stoma site marking on risk of stoma-related complications in patients with intestinal ostomy—protocol of a systematic review and meta-analysis

et al. 2021

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Background An intestinal ostomy is an artificial bowel opening created on the skin. Procedure-related mortality is extremely rare. However, the presence of an ostomy may be associated with significant morbidity. Complications negatively affect the quality of life of ostomates. Preoperative stoma site marking can reduce stoma-related complications and is recommended by several guidelines. However, there is no consensus on the procedure and recommendations are based on low-quality evidence. The objective of the systematic review will be to investigate if preoperative stoma site marking compared to no preoperative marking in patients undergoing intestinal stoma surgery reduces or prevents the rate of stoma-related complications. Methods We will include (cluster-) randomised controlled trials and cohort studies that involve patients with intestinal ostomies comparing preoperative stoma site marking to no preoperative marking and report at least one patient-relevant outcome. For study identification, we will systematically search MEDLINE/PubMed, EMBASE, CENTRAL and CINHAL as well as Google Scholar, trial registries, conference proceedings and reference lists. Additionally, we will contact experts in the field. Two reviewers will independently perform study selection and data extraction. Outcomes will be prioritised based on findings from telephone interviews with five ostomates and five ostomy and wound nurses prior to conducting the review. Outcomes may include but are not limited to stoma-related complications (infection, parastomal abscess, hernia, mucocutaneous separation, dermatological complications, stoma necrosis, stenosis, retraction and prolapse) or other patient-relevant postoperative endpoints (quality of life, revision rate, dependence on professional care, mortality, length of stay and readmission). We will use the ROBINS-I or the Cochrane risk of bias tool to assess the risk of bias of the included studies. We will perform a meta-analysis and assess the certainty of evidence using the GRADE approach. Discussion With the results of the systematic review, we aim to provide information for future clinical guidelines and influence clinical routine with regard to preoperative stoma site marking in patients undergoing ostomy surgery. When the evidence of our systematic review is low, it would still be a useful basis for future clinical trials by identifying data gaps. Systematic review registration PROSPERO registration number: CRD42021226647

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Preoperative stoma site marking: a simple practice to reduce stoma-related complications

Cited by 47 publications

References 13 publications

Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer

Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer

Enhanced recovery after surgery nursing, a risk factor for stoma-related complications in patients with low rectal cancer

The effect of preoperative stoma site marking on risk of stoma-related complications in patients with intestinal ostomy—protocol of a systematic review and meta-analysis

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